| NPI | 1225758220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 27258) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 27258) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-06-27 |